TANF Rapid Rehousing Program Referral Form
Please complete this form for a family to be screened for the TANF Rapid Rehousing Program. Eligible households can complete an assessment with a Housing Navigator. Updates on eligibility and housing progress will be shared weekly during the Family Rapid Rehousing (FRR) meeting held virtually Mondays 2:30-3:30 PM. Please only submit once per family. Contact [email protected] with any questions.
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Are you a Domestic Violence Provider?
Has the household been identified as high risk by the Lethality Assessment Protocol (LAP)?
Does the household have at least one adult and one minor child who are related by blood, marriage, or decree of court?
Do the related adult and child both have one or more of the following?
  • Social security number
  • U.S. birth certificate
  • Permanent resident card
  • Naturalization documents
  • Asylee or refugee status
Do the related adult and child both have one or more of the following?
Is the adult currently employed?
Click or drag a file to this area to upload.